Systematizing the One Health Approach in Preparedness and Response Efforts for Infectious Disease Outbreaks Proceedings of a Workshop (2022) / Chapter Skim
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7 Building a Better System for Outbreak Response, Surveillance, Detection, and Forecasting
7 Building a Better System for Outbreak Response, Surveillance, Detection, and Forecasting
Pages 109-120
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From page 109... ...
, moderated the breakout room recaps and discussion. BREAKOUT SESSION HIGHLIGHTS Response Capacities Kent Kester, vice president and head of translational science and biomarkers at Sanofi Pasteur, moderated the breakout discussion focused response capacities (see Box 7-1)
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From page 110... ...
Despite widespread acknowledgment of the importance of food security, agriculture recedes to the background outside periods of famine and drought, Kester noted. He suggested a midterm goal of mobilizing communities through education and the concept of citizen scientists, as this can expand surveillance and health literacy beyond physicians and veterinarians to encompass a broader segment of society.
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From page 111... ...
• Creating a government structure for One Health surveillance to coordinate efforts, build trust, and work across sectors. • Building outreach for global networks and widening sources of data: for exam ple, conduct participatory surveillance, build mobile tools, and ensure that they are broadly available.
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From page 112... ...
Second, a single, integrated information technology platform could extend beyond single systems and traditional data to create an iterative surveillance system that incorporates data from social media and citizen science input. By creating a system in which data improve in quality while being operationalized locally, local-level public health can become the locus of both decision making and decision implementation.
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From page 113... ...
• Increasing food security and addressing root causes of risks. Use predictive approaches to move beyond "firefighting": • Quantifying risk more accurately and working creatively with disparate data.
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From page 114... ...
Areas that would benefit from the contribution of social science perspectives include behavioral economics and the design of appropriate community-engagement interventions. For example, the PREDICT project's book, Living Safely with Bats,1 was designed as a visual tool to engage communities about their consumptive practices and exposures and introduce practical solutions.
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From page 115... ...
Andrew Maccabe, chief executive officer at the American Association of Veterinary Medical Colleges, noted the ongoing challenge of breaking down barriers to integrate One Health beyond specialists and scientists. He added that even within one's own profession, communication can be difficult; hence, effectively communicating with the public can be daunting.
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From page 116... ...
. Michael Wilkes, professor of internal medicine at UC Davis suggested starting downstream by integrating One Health concepts into the educational system, strengthening health literacy and numeracy to foster public understanding of the interrelationships between humans, animals, agriculture, and the environment.
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From page 117... ...
Kaylee Myhre Errecaborde, policy researcher and veterinarian at the University of Minnesota College of Veterinary Medicine, noted that despite collaborative advantage, collaborative inertia can occur, impeding the process of prioritizing participants to the specific issue at hand. Collaboration requires considerable energy and resources, but prioritizing the participants who are most critical to each conversation or technical activity can help to maximize the impact of collaborative efforts.
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From page 118... ...
Furthermore, he noted the Black Lives Matter movement has had a greater impact on shifting institutional racism in a relatively short period of time than have research and academic efforts. Given the close ties of racial health disparities and climate change with the One Health approach, activism can serve as an effective vehicle for expanding the One Health platform, said Amuasi.
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From page 119... ...
The collective group developed a list of prioritized zoonotic disease threats in the United States, in which coronaviruses ranked fifth.3 Noting action plans to promote One Health, she highlighted 2021 legislation that directs the federal government to create a national One Health framework to combat the threat of zoonotic diseases, advance emergency preparedness, and establish a formalized One Health coordination mechanism at the federal level.4 Barton Behravesh stated that if passed into law, this legislation will be critically important in fostering interagency collaboration, focusing on shared priorities, and creating a unified framework to demonstrate the needed steps and resources -- including a dedicated budget line for One Health activities -- to tackle these issues and better serve the collective health goals of the nation. Mazet remarked that many One Health practitioners have slowly and steadily made inroads in advancing this approach over several decades, but the COVID-19 pandemic has catalyzed momentum toward changing not only the way health problem solving is approached but the very way humans function on Earth.
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From page 120... ...
She emphasized that One Health has the potential to serve in this capacity, but only if equity, inclusion, and diversity are valued and the voices of people facing the greatest adverse health outcomes are spotlighted. Accomplishing this paradigm shift will require leadership and advocacy in all directions and opening national and disciplinary boundaries, she noted.
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